PLEURA, NOS (67384)    ICDO TOPOGRAPHY (164)

Primary Tumor (T)
T3  Tumor invades any of the following:
      ipsilateral chest wall muscle, ribs,
      mediastinal organs or tissues
T4  Tumor directly extends to any of the following:
      contralateral pleura, lung, peritoneum,
      intra-abdominal organs, or cervical tissues

TX  Primary tumor cannot be assessed
T0  No evidence of primary tumor
T1  Tumor limited to ipsilateral parietal
      and/or visceral pleura
T2  Tumor invades any of the following:
      ipsilateral lung, endothoracic fascia,
      diaphragm, pericardium

Regional Lymph Nodes (N)
N3  Metastasis in contralateral mediastinal,
      contralateral hilar, ipsilateral or 
      contralateral scalene, or supraclavicular
      lymph node(s)

NX  Regional lymph node(s) cannot be assessed
N0  No regional lymph node metastasis
N1  Metastasis in ipsilateral peribronchial
      and/or ipsilateral hilar lymph nodes,
      including direct extension
N2  Metastasis in ipsilateral mediastinal and/or
      subcarinal lymph node(s)

• DESCRIPTION:   CBA
  CODE:   TX
• DESCRIPTION:   NET
  CODE:   T0
• DESCRIPTION:   Ipsilateral parietal w or w/o visceral pleura inv
  CODE:   T1
• DESCRIPTION:   Ipsilateral parietal w/o visceral pleura inv
  CODE:   T1a
• DESCRIPTION:   Ipsilateral parietal w visceral pleura inv
  CODE:   T1b
• DESCRIPTION:   Visceral pleural/diaphragmatic muscle/parenchyma
  CODE:   T2
• DESCRIPTION:   Endothroracic fascia/mediastinal fat/chest wall
  CODE:   T3
• DESCRIPTION:   Rib/peritoneum/contralateral pleura/spine/brachia
  CODE:   T4
• DESCRIPTION:   NA
  CODE:   NA

Primary Tumor (T)
      with focal involvement of visceral pleura
    Tumor involves any of the ipsilateral pleural surfaces with at least one
      of the following:
T2  - confluent visceral pleural tumor (including fissure)
    - invasion of diaphragmatic muscle
    - invasion of lung parenchyma
T3  - invasion of the endothoracic fascia
    - invasion into mediastinal fat
    - solitary focus of tumor invading the soft tissues of the chest wall
    - non-transmural involvement of the pericardium

T4  - diffuse or multifocal invasion of soft tissues of the chest wall
    - any involvement of rib
    - invasion through the diaphragm to the peritoneum
    - invasion of any mediastinal organ(s)
    - direct extension to the contralateral pleura
    - invasion into the spine
    - extension to the internal surface of the pericardium
    - pericardial effusion with positive cytology
    - invasion of the myocardium
    - invasion of the brachial plexus
TX  Primary tumor cannot be assessed
T0  No evidence of primary tumor
T1  Tumor involves ipsilateral parietal pluera, with or without focal
      involvement of visceral pleura
T1a Tumor involves ipsilateral parietal (mediastinal, diaphragmatic) pleura
      No involvement of visceral pleura
T1b Tumor involves ipsilateral parietal (mediastinal, diaphragmatic) pleura

• DESCRIPTION:   NCA
  CODE:   NX
• DESCRIPTION:   NRN
  CODE:   N0
• DESCRIPTION:   Ipsilateral bronchopulmonary/hilar lymph nodes
  CODE:   N1
• DESCRIPTION:   Subcarinal/ipsilateral mammary/mediastinal
  CODE:   N2
• DESCRIPTION:   Contralateral mediastinal/hilar/scalene/supraclav
  CODE:   N3
• DESCRIPTION:   NA
  CODE:   NA

Regional Lymph Nodes (N)
N3  Metastasis in contralateral mediastinal, internal
      mammary, or hilar lymph node(s) and/or the
      ipsilateral or contralateral supraclavicular or
      scalene lymph node(s)

NX  Regional lymph node(s) cannot be assessed
N0  No regional lymph node metastasis
N1  Metastasis in the ipsilateral bronchopulmonary
      and/or hilar lymph node(s)
N2  Metastasis in the subcarinal lymph node(s)
      and/or the ipsilateral internal mammary or mediastinal
      lymph node(s)

• T-CODE:   X
• T-CODE:   1A
• T-CODE:   1B

Primary Tumor (T)
T2   Tumor involving each of the ipsilateral pleural surfaces (parietal, 
      mediastinal, diaphragmatic, and visceral pleura) with at least one
      of the following features:
        involvement of diaphragmatic muscle
        extension of tumor from visceral pleura into the underlying
         pulmonary parenchyma
T3   Locally advanced but potentially resectable tumor
     Tumor involving all of the ipsilateral pleural surfaces (parietal, 
      mediastinal, diaphragmatic, and visceral pleura) with at least one
      of the following features:
 
        involvement of the endothoracic fascia
        extension into the mediastinal fat
        solitary, completely resectable focus of tumor extending into the
         soft tissues of the chest wall
        non-transmural involvement of the pericardium
T4   Locally advanced technically unresectable tumor
     Tumor involving all of the ipsilateral pleural surfaces (parietal, 
      mediastinal, diaphragmatic, and visceral pleura) with at least one
      of the following features:
        diffuse extension or multifocal masses of tumor in the chest
TX   Primary tumor cannot be assessed
         wall, with or without associated rib destruction
        direct transdiaphragmatic extension of tumor to the peritoneum
        direct extension of tumor to the contralateral pleura
        direct extension of tumor to mediastinal organs
        direct extension of tumor into the spine
        tumor extending through to the internal surface of the
         pericardium with or without a pericardial effusion; or tumor
         involving the myocardium
T0   No evidence of primary tumor
T1   Tumor limited to the ipsilateral parietal pleura with or without 
      media stinal pleura and with or without diaphragmatic pleural
      involvement
T1a  No involvement of the visceral pleura
T1b  Tumor also involving the visceral pleura

• N-CODE:   X

Regional Lymph Nodes (N)
     mammary, ipsilateral or contralateral supraclavicular lymph nodes
 
NX   Regional lymph nodes cannot be assessed
N0   No regional lymph node metastases
N1   Metastases in the ipsilateral bronchopulmonary or hilar lymph nodes
N2   Metastases in the subcarinal or the ipsilateral mediastinal lymph
     nodes including the ipsilateral internal mammary and
     peridiaphragmatic nodes
N3   Metastases in the contralateral mediastinal, contralateral internal 

• PARIETAL PLEURA
• VISCERAL PLEURA

• CBA
  CODE:   TX
  ACOS CODE:   TX
• NET
  CODE:   T0
  ACOS CODE:   T0
• Ipsilateral parietal/visceral pleura
  CODE:   T1
  ACOS CODE:   T1
• Ipsilateral lung, endothoracic fascia, etc.
  CODE:   T2
  ACOS CODE:   T2
• Chest wall muscle, ribs, mediastinal organs
  CODE:   T3
  ACOS CODE:   T3
• Contralateral pleura, lung, peritoneum, etc.
  CODE:   T4
  ACOS CODE:   T4
• NA
  CODE:   NA
  ACOS CODE:   NA

• NCA
  CODE:   NX
  ACOS CODE:   NX
• NRN
  CODE:   N0
  ACOS CODE:   N0
• Ipsilateral peribronchial/hilar, direct ext
  CODE:   N1
  ACOS CODE:   N1
• Ipsilateral mediastinal/subcarinal
  CODE:   N2
  ACOS CODE:   N2
• Contralateral mediastinal/hilar/scalene/supraclav
  CODE:   N3
  ACOS CODE:   N3
• NA
  CODE:   NA
  ACOS CODE:   NA